Mohsen Kheradpezhouh MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A99424 Issued in CA

Legal business name

MOHSEN KHERADPEZHOUH MD, INC

Practice address

10465 Eastborne Ave
Apt 306
Los Angeles, CA 90024-6181

Phone

(818) 248-0364

Fax

(818) 247-1330

NPI assigned

Jan 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohsen KheradpezhouhNPI 1346363405

Title

President

Phone

(818) 248-0364

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohsen Kheradpezhouh, M.D.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1346363405

  CA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1861815771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 EASTBORNE AVE",
            "address_2": "APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246181",
            "telephone_number": "818-248-0364",
            "fax_number": "818-247-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 EASTBORNE AVE",
            "address_2": "APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246181",
            "telephone_number": "818-248-0364",
            "fax_number": "818-247-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHSEN KHERADPEZHOUH MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KHERADPEZHOUH",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-248-0364"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Mohler, PHD
• Jamie Michelle Mohn, PSY.D.
• Jyodi Dinesh Mohole, MD
• Robert N. Mohr, D.P.M.
• Ann Mohrbacher, M.D.
• Mohsen M Hamza MD Inc
• Mohsen Rofoogaran
• Masoud Mohseni
• Faramarz Mohtadi, MD
• Sarah Mohtadi

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.